The Causes of Long Waiting Times for Outpatient Pharmaceutical Prescription Services at Hospital “X” in Padang
Main Article Content
Abstract
Outpatient pharmacy services in a hospital shows the quality of health service to the community. Data from the internal quality assurance report of Hospital â€X†in Padang showed that only 93.76% of non-compounded medication and 94.6% of compounded medication recipes met the waiting time standard. This study aimed to analyze the causes of the long waiting time for outpatient pharmacy services at Hospital “Xâ€. The type of this research was a mix-method sequential type explanatory, conducted from February until May 2022. The quantitative design was a cross-sectional study of 141 for non-concoction and 35 for compounded medication recipes determined by quota sampling. Qualitative research was conducted on seven informants by purposive sampling. Observation, in-depth interviews, and document review collected data. Results showed that the average waiting time was 84.19 (standard ≤30) minutes for non-concoction and 164.58 (standard ≤60) minutes for compounded medication recipes. The causes of the long waiting time were a need for more staff, prescriptions outside the hospital formulary, equipment errors, and medicines delivery delays. There should be a job redesign by rearranging the shift picket for pharmacy staff, regular equipment maintenance, and updating standard operating procedures related to medicines delivery to the patients.
Article Details

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
The authors retain the copyright and grant the journal the right of first publication simultaneously under the Creative Commons Attribution License. This license allows others to share the work with proper acknowledgment of authorship and initial publication in this journal. Authors are permitted and encouraged to deposit their articles in institutional repositories, on their personal websites, or in other online repositories after the article has been published in JSFK.
References
REFERENCES
U. Fauzia, E. P. Setiawati, and E. S. Surahman, “Analysis of Waiting Time for Filing Prescriptions in Hospital Pharmacy,†Pharmacol. Clin. Pharm. Res., vol. 2, no. 3, 2017, DOI: 10.15416/pcpr.v2i3.16226.
J. Sun et al., “Reducing waiting time and raising outpatient satisfaction in a Chinese public tertiary general hospital-an interrupted time series study,†BMC Public Health, vol. 17, no. 1, pp. 1–11, 2017, DOI: 10.1186/s12889-017-4667-z.
M. A. Bader M. Al Sadi, Zakari Harb, Faris El-Dahiyat, “Improving patient waiting time: A quality initiative at a pharmacy of a public hospital in United Arab Emirates,†Int. J. Healthc. Manag., vol. 14, no. 3, 2021.
N. Laeliyah and H. Subekti, “Waktu Tunggu Pelayanan Rawat Jalan dengan Kepuasan Pasien Terhadap Pelayanan di Rawat Jalan RSUD Kabupaten Indramayu,†J. Kesehat. Vokasional, vol. 1, no. 2, pp. 102–112, 2017, doi: 10.22146/jkesvo.27576.
W. H. Organization, Delivering quality health services : a global imperative for universal health coverage, no. July. 2018.
N. Purwandari, A. Suryoputro, and S. Arso, “Analisis Waktu Tunggu Pelayanan Resep Pasien Rawat Jalan di Depo Farmasi Gedung MCEB Rs Islam Sultan Agung Semarang,†J. Kesehat. Masy., vol. 5, no. 1, pp. 103–110, 2017.
Permenpan-RB, “Peraturan Menteri Pendayagunaan AParatur Negara dan Birokrasi Republik Indonesia Nomor 14 Tahun 2017 Tentang Pedoman Penyusunan SurveiKepuasan MAsyarakat Unit Penyelenggara Pelayanan Publik,†Jakarta, 2017. doi: 10.1016/0014-4827(75)90518-2.
H. D. Arini, A. N. Y, and A. Suwastini, “Waktu Tunggu Pelayanan Resep di Depo Farmasi RS X,†Lomb. J. Sci., vol. 2, no. 2, pp. 40–46, 2020.
F. Aryani, H. Husnawati, S. Muharni, M. Liasari, and R. Afrianti, “Analisa Kepuasan Pasien Rawat Jalan Terhadap Kualitas Pelayanan Di Instalasi Farmasi Rumah Sakit Islam Ibnu Sina Pekanbaru,†Pharm. J. Farm. Indones., vol. 12, no. 01, pp. 101–112, 2015.
I. P. Sari, “Evauasi Standar Pelayanan Minimal Waktu Tunggu Pelayanan Resep Rawat Jalan di RSU Dr. H. Koesnasi Bondowoso,†Universitas Jember, 2018.
D. S. Faulin, B. Hartono, and A. Wahyudi, “Analisis Waktu Tunggu Pelayanan Resep Pasien JKN Rawat Jalan di Unit Farmasi RS Prof. Dr. Tabrani Pekanbaru Tahun 2018,†J. Akrab Juara, vol. 4, no. 3, pp. 47–64, 2019.
A. K. Astiena, N. I. Lipoeto, M. A. Surya, D. E. P. Andima, and F. Azmi, “Laporan Survey Standar Pelayanan Minimum Waktu Tunggu dan Kepuasan Pelanggan,†Padang, 2019.
R. Rizal, M. Suardi, and Y. Yulihasri, “Pengaruh Kualitas Pelayanan dan Kepuasan Pasien Peserta BPJS Kesehatan sebagai Mediasi terhadap Loyalitas Pasien,†J. Sains Farm. Klin., vol. 3, no. 2, p. 108, 2017, doi: 10.29208/jsfk.2017.3.2.112.
Rumah Sakit Tk. III dr. Reksodiwiryo, Profil Rumah Sakit Tk. III dr. Reksodiwiryo Padang Tahun 2022. Padang, 2021.
Badan Pusat Statistik, “Kota Padang Dalam Angka 2020,†Padang, 2020.
Rumah Sakit Tk. III dr. Reksodiwiryo, “Laporan Jumlah Kunjungan Pasien Instalasi Farmasi Rawat Jalan Tahun 2021 Rumah Sakit Tk. III dr. Reksodiwiryo Padang,†Padang, 2022.
H. Purwanto, Indiati, and T. Hidayat, “Faktor Penyebab Waktu Tunggu Lama di Pelayanan Instalasi Farmasi Rawat Jalan RSUD Blambangan,†J. Kedokt. Brawijayajaya, vol. 28, no. 2, pp. 159–162, 2015.
F. Amirudin and Koesnadi, “The Effect of Drug Types, Facility, and Infrastructure against the Waiting Times at the Pharmacy Installation of Caruban General Hospital,†J. Qual. Public Heal., vol. 4, no. 2, pp. 204–210, 2021, DOI: 10.30994/jqph.v4i2.211.
Rumah Sakit Tk. III dr. Reksodiwiryo, “Laporan Peningkatan Mutu dan Keselamatan Pasien Rumah Sakit April Tahun 2022,†Padang, 2022.
I. Nurjanah, F. R. . Marais, and S. Engkeng, “Hubungan Antara Waktu Tunggu Pelayanan Resep Dengan Kepuasan Pasien di Apotek Pelengkap Kimia Farma BLU Prof. Dr. R.D. Kandou Manado,†Pharmacon, vol. 5, no. 1, pp. 362–370, 2016, doi: 10.35799/pha.5.2016.11379.
S. D. Insani, L. Hakim, and K. Widyaningrum, “The Effect of Outpatient Pharmaceutical Service Quality on Patient Loyalty Through Patient Satisfaction of Karsa Husada General Hospital Batu,†J. Apl. Manaj., vol. 15, no. 4, pp. 616–623, 2017, doi: 10.21776/ub.jam2017.015.04.08.
Sugiyono, Metode Penelitian Pendidikan : Pendekatan Kuantitaif, Kualitatif dan R&D. Bandung: CV. Alfabeta, 2015.
A. Amaliany, R. Hidana, and H. Maryati, “Gambaran Waktu Tunggu Pelayanan Obat Instalasi Farmasi Rawat Jalan Rumah Sakit Umum Daerah Kota Bogor Tahun 2018,†J. Mhs. Kesehat. Masy., vol. 1, no. 1, pp. 1–7, 2018.
N. Maemunah, “Faktor yang Mempengaruhi Lama Pelayanan Obat d iInstalasi Farmasi Rumah Sakit Islam Malang,†J. Keperawatan Florence, vol. 4, no. 1, pp. 1–6, 2019.
H. Karuniawati, I. G. Hapsari, M. Arum, A. T. Aurora, and N. A. Wahyono, “Evaluasi Pelaksanan Standar Pelayanan Minimal (Spm) Farmasi Kategori Lama Waktu Tunggu Pelayanan Resep Pasien Rawat Jalan Di Rsud Kota Salatiga,†Kartika J. Ilm. Farm., vol. 4, no. 1, 2016, doi: 10.26874/kjif.v4i1.53.
E. Roselina, A. Nurfikri, and O. Aulia, “Evaluasi Layanan Resep Rawat Jalan Di Instalasi Farmasi: Waktu Tunggu Dan Kendala,†J. Vokasi Indones., vol. 9, no. 2, pp. 56–63, 2021, doi: 10.7454/jvi.v9i2.257.
S. A. Runggandini, L. Indrawati, and T. Suratmi, “Waktu Tunggu Pelayanan Obat Jadi di Instalasi Farmasi Unit Rawat Jalan (Studi Kasus di RS X Bekasi Tahun 2020),†J. Manaj. dan Adm. Rumah Sakit Indones., vol. 5, no. 2, pp. 194–206, 2021.
R. Septini, “Analisis Waktu Tunggu Pelayanan Resep Pasien Askes Rawat Jalan di Yanmasum Farmasi RSPAD Gatot Soebroto Tahun 2011,†Universitas Indonesia, 2012.
O. W. Utami and R. Rumita, “Analisa Beban Kerja Pegawai Dan Usulan Perbaikan Sistem Antrian Pada Instalasi Farmasi Depo Askes Rsud Dr Soeselo Slawi,†Ind. Eng. Online J., vol. 5, no. 4, 2016.
N. Berti, “Analisis Waktu Tunggu Pelayanan Obat di Instalasi Farmasi RSUD dr. Rasidin Padang Tahun 2019,†Universitas Andalas, 2019.
Muhammad Yunus, Wiryanto, and Yuandani, “Evaluation of Waiting Time for Outpatient Prescription Services at the Pharmacy Installation at the Universitas Sumatera Utara Hospital,†Indones. J. Pharm. Clin. Res., vol. 3, no. 2, pp. 54–61, 2021, DOI: 10.32734/idjpcr.v3i2.4430.
P. Margiluruswati and L. I. Irmawati, “Analisis Ketepatan Waktu Tunggu Pelayanan Resep Pasien Jkn Dengan Standar Pelayaan Minimal Rumah Sakit 2017 (Studi Di UPF Rawat Jalan Rsud Bhakti Dharma Husada) Pipintri,†J. Manaj. Kesehat. Yayasan RS. Dr. Soetomo, vol. 3, no. 1, pp. 115–126, 2017.